NPI 1972824902 · live from the CMS NPI Registry
Ilya Alishayev, DO
Family Medicine in Charlotte, NC. National Provider Identifier 1972824902, active.
NPI record
| NPI | 1972824902 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 101 E Wt Harris Blvd, Ste 5002, Charlotte, NC 28262 |
| Practice phone | 704-801-7310 |
| Mailing address | Po Box 19305, Charlotte, NC 28219 |
| Enumerated | June 14, 2010 |
| Last updated | September 25, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 2016-00823 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.